PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of postmedjPostgraduate Medical JournalVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
 
Postgrad Med J. 1985 May; 61(715): 435–438.
PMCID: PMC2418250

Adrenal insufficiency and bilateral adrenal enlargement: demonstration by computed tomography.

Abstract

A patient presented with fever, malaise and a staphylococcal wound infection occurring 3 weeks after severe haemorrhage from a lacerated brachial artery. There were no clinical features to suggest Addison's disease but abdominal computed tomography to exclude abdominal sepsis showed bilateral adrenal gland enlargement with preservation of adrenal shape. This was consistent with resolving adrenal haemorrhage or infarction and endocrinological investigations confirmed primary adrenal failure.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (788K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Adams JE, Johnson RJ, Rickards D, Isherwood I. Computed tomography in adrenal disease. Clin Radiol. 1983 Jan;34(1):39–49. [PubMed]
  • Albert SG, Wolverson MK, Johnson FE. Bilateral adrenal hemorrhage in an adult. Demonstration by computed tomography. JAMA. 1982 Mar 26;247(12):1737–1739. [PubMed]
  • Bayliss RI. Adrenal cortex. Clin Endocrinol Metab. 1980 Nov;9(3):477–486. [PubMed]
  • BERTE SJ. Spontaneous adrenal hemorrhage in the adult; literature review and report of two cases. Ann Intern Med. 1953 Jan;38(1):28–37. [PubMed]
  • Brownlie K, Kreel L. Computer assisted tomography of normal suprarenal glands. J Comput Assist Tomogr. 1978 Jan;2(1):1–10. [PubMed]
  • Doppman JL, Gill JR, Jr, Nienhuis AW, Earll JM, Long JA., Jr CT findings in Addison's disease. J Comput Assist Tomogr. 1982 Aug;6(4):757–761. [PubMed]
  • Dunnick NR, Schaner EG, Doppman JL, Strott CA, Gill JR, Javadpour N. Computed tomography in adrenal tumors. AJR Am J Roentgenol. 1979 Jan;132(1):43–46. [PubMed]
  • Halvorsen RA, Jr, Heaston DK, Johnston WW, Ashton PR, Burton GM. Case report. CT guided thin needle aspiration of adrenal blastomycosis. J Comput Assist Tomogr. 1982 Apr;6(2):389–391. [PubMed]
  • Huebener KH, Treugut H. Adrenal cortex dysfunction: CT findings. Radiology. 1984 Jan;150(1):195–199. [PubMed]
  • Korobkin M, White EA, Kressel HY, Moss AA, Montagne JP. Computed tomography in the diagnosis of adrenal disease. AJR Am J Roentgenol. 1979 Feb;132(2):231–238. [PubMed]
  • LEVIN J, CLUFF LE. ENDOTOXEMIA AND ADRENAL HEMORRHAGE. A MECHANISM FOR THE WATERHOUSE-FRIDERICHSEN SYNDROME. J Exp Med. 1965 Feb 1;121:247–260. [PMC free article] [PubMed]
  • Ling D, Korobkin M, Silverman PM, Dunnick NR. CT demonstration of bilateral adrenal hemorrhage. AJR Am J Roentgenol. 1983 Aug;141(2):307–308. [PubMed]
  • Liu L, Haskin ME, Rose LI, Bemis CE. Diagnosis of bilateral adrenocortical hemorrhage by computed tomography. Ann Intern Med. 1982 Nov;97(5):720–721. [PubMed]
  • Montagne JP, Kressel HY, Korobkin M, Moss AA. Computed tomography of the normal adrenal glands. AJR Am J Roentgenol. 1978 May;130(5):963–966. [PubMed]
  • Portnay GI, Vagenakis AG, Braverman LE, Cervi-Skinner SI. Letter: Anticoagulant therapy and acute adrenal insufficiency. Ann Intern Med. 1974 Jul;81(1):115–115. [PubMed]
  • Swift DE, Overholt EL, Travelli R. Methods of diagnosis of acute adrenal hemorrhage complicating anticoagulant therapy-abdominal CAT scanning. Wis Med J. 1981 Nov;80(11):25–28. [PubMed]
  • White FE, White MC, Drury PL, Fry IK, Besser GM. Value of computed tomography of the abdomen and chest in investigation of Cushing's syndrome. Br Med J (Clin Res Ed) 1982 Mar 13;284(6318):771–774. [PMC free article] [PubMed]
  • Wilms GE, Baert AL, Kint EJ, Pringot JH, Goddeeris PG. Computed tomographic findings in bilateral adrenal tuberculosis. Radiology. 1983 Mar;146(3):729–730. [PubMed]
  • Wilson DA, Muchmore HG, Tisdal RG, Fahmy A, Pitha JV. Histoplasmosis of the adrenal glands studied by CT. Radiology. 1984 Mar;150(3):779–783. [PubMed]
  • Wolverson MK, Kannegiesser H. CT of bilateral adrenal hemorrhage with acute adrenal insufficiency in the adult. AJR Am J Roentgenol. 1984 Feb;142(2):311–314. [PubMed]
  • Xarli VP, Steele AA, Davis PJ, Buescher ES, Rios CN, Garcia-Bunuel R. Adrenal hemorrhage in the adult. Medicine (Baltimore) 1978 May;57(3):211–221. [PubMed]

Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Group